Deficiency Index

Silver Spring

Abilene, Texas · CCN 676376

30 surveys since 2015, 18 of them producing a finding at harm level or worse.

Data as of , released by CMS on October 8, 2026. Source: CMS Provider Data Catalog.

Citations on record
115
Surveys
30
Harm or worse
18
Immediate jeopardy
12
The record, 2015–2026
’15’20’25’26
No harm recordedHarm or worseNot surveyed
Immediate jeopardy12

Findings at the most serious level CMS records.

Beyond CMS’s monthly file22/30

Older surveys no longer in CMS’s monthly file or on Care Compare. They are shown here.

The facility

Certified beds
120
Ownership
For profit - Corporation
Chain
HMG HEALTHCARE
County
Taylor
Medicare-certified since
2015

CMS ratings

Overall
3
Health inspection
3
Staffing
2
Quality measures
4

CMS’s own Five-Star ratings.

Compared with similar facilities

Since 2021, this facility recorded more weighted findings than most of its peer group.

Weighted by harm level, against 377 for-profit facilities of 100–127 beds in Texas.

Last survey on record

Jan 30, 2026

283 days ago.

Counts surveys with at least one finding. A clean survey leaves no record here, so the real gap may be shorter.

Staffing

MeasureThis facilityPeer median
Nurse hours per resident day3.193.25
Registered-nurse hours per resident day0.51—
Annual nurse turnover49.4%54.0%

As reported by the facility to CMS, beside the peer-group median.

Enforcement

No fines, payment denials or special-focus designation on the current CMS record.

Severity of recent findings

Citations by CMS scope and severity. Rows are harm level, columns are how widespread the finding was.
SeverityIsolatedPatternWidespread
Immediate jeopardyJ38.8%K411.8%L—
Actual harmG—H—I—
No harm, potential for more than minimalD1647.1%E926.5%F25.9%
No harm, potential for minimalA—B—C—
CMS’s current file: 34 of the 115 citations on record.

Most frequently cited here

In CMS’s current monthly file.

  • F7613×

    Ensure drugs and biologicals used in the facility are labeled in accordance with currently accepted professional principles; and all drugs and biologicals must be stored in locked compartments, separately locked, compartments for controlled drugs.

  • F8123×

    Procure food from sources approved or considered satisfactory and store, prepare, distribute and serve food in accordance with professional standards.

  • F6072×

    Develop and implement policies and procedures to prevent abuse, neglect, and theft.

  • F6552×

    Create and put into place a plan for meeting the resident's most immediate needs within 48 hours of being admitted

  • F7262×

    Ensure that nurses and nurse aides have the appropriate competencies to care for every resident in a way that maximizes each resident's well being.

In the surveyor’s words

From the most serious findings on record at Silver Spring, in the surveyor’s own words.

  • Immediate jeopardy, patternF580Aug 7, 2023

    Based on observation, interview, and record review, the facility failed to notify the physician when there was a significant change of condition for 4 (Resident #4, Resident #1, Resident #2, Resident #6) of 8 residents reviewed for notification of changes. 1. The facility failed to notify physician of Resident #4's missed treatments to wounds. 2. The facility failed to notify physician of Resident #1's missed treatments to wounds. 3. The facility failed to notify physician of Resident #2's newly acquired pressure ulcer. Resident #2 went 12 days without treatment to wound. 4. The facility failed to notify physician of Resident #6's left heel Deep Tissue Injury. Resident #6 went 5 days without treatment to wound. An Immediate Jeopardy (IJ) was identified on [DATE]. […]

  • Immediate jeopardy, patternF600Aug 7, 2023

    Based on observation, interview, and record review, the facility failed to protect the resident's right to be free from neglect for 6 of 8 residents (Resident #4, Resident #1, Resident #2, Resident #6, Resident #7, Resident #8) reviewed for neglect. 1. The facility failed to follow physician's orders to prevent Resident #4's Deep Tissue Injury to right medial heel to deteriorate to a stage 4 pressure ulcer. 2. The facility failed to follow physician's orders to prevent Resident #1's Right Ischium(hip) pressure ulcer to deteriorate from a stage 2 to a stage 3. 3. The facility failed to obtain orders from Resident #1's Podiatrist when appointments were missed status post amputation of 5th digit of left foot. 4. […]

  • Immediate jeopardy, patternF607Aug 7, 2023

    Based on observation, interview, and record review, the facility failed to implement written policies and procedures that prohibited and prevented abuse and neglect for 6 of 8 residents (Resident #4, Resident #1, Resident #2, Resident #6, Resident #7, Resident #8) reviewed for neglect. 1. The facility failed to follow physician's orders to prevent Resident #4's Deep Tissue Injury to right medial heel to deteriorate to a stage 4 pressure ulcer. 2. The facility failed to follow physician's orders to prevent Resident #1's Right Ischium(hip) pressure ulcer to deteriorate from a stage 2 to a stage 3. 3. The facility failed to obtain orders from Resident #1's Podiatrist when appointments were missed status post amputation of 5th digit of left foot. 4. […]

  • Immediate jeopardy, patternF686Aug 7, 2023

    Based on observation, interview, and record review the facility failed to ensure that a resident received care, consistent with professional standards of practice, to prevent pressure ulcers that were avoidable and failed to ensure a resident with pressure ulcers received necessary treatment and services, consistent with professional standards of practice, to promote healing, prevent infection and prevent new ulcers from developing for 6 of 8 residents (Resident #4, Resident #1, Resident #2, Resident #6, Resident #7, Resident #8) reviewed for skin integrity. 1. The facility failed to follow physician's orders to prevent Resident #4's Deep Tissue Injury to right medial heel to deteriorate to a stage 4 pressure ulcer. 2. […]

  • Immediate jeopardy, isolatedF697Jun 25, 2025

    Based on observation, interviews and record review, the facility failed to ensure that pain management was provided to residents who required such services, consistent with professional standards of practice, the comprehensive person-centered care plan, and the residents' goals and preferences for 1 (Resident #1) of 8 residents reviewed for pain. Facility failed to ensure Resident #1's pain was recognized, properly assessed and received pain management in accordance with professional standards of practice. Facility nurse aides and occupational therapy assistant moved Resident #1 from the floor to the wheelchair to the bed, after a fall without a nurse assessing the resident for any pain or injuries on 4/8/25 at approximately 6PM. […]

Read 36 findings in full →The most serious and the most recent: 36 of 115 on record.

Every survey on record

FindingsAt actual harm or above

  • Jan 30, 2026Complaint2 findings
  • Jun 25, 2025Complaint2 findings · 2 harm
  • Nov 7, 2024Standard and complaint5 findings
  • Aug 22, 2024Complaint2 findings
  • Jan 27, 2024Complaint1 finding
  • Oct 5, 2023Standard and complaint11 findings
  • Aug 7, 2023Complaint7 findings · 5 harm
  • Jun 1, 2023Complaint2 findings
Show the 22 earlier surveys
  • Dec 7, 2022Infection control1 finding
  • Aug 25, 2022Complaint4 findings
  • Dec 1, 2021Infection control1 finding
  • Jun 10, 2021Standard and complaint4 findings
  • Mar 27, 2021Complaint1 finding
  • Aug 16, 2020Complaint1 finding
  • Feb 27, 2020Standard3 findings
  • Apr 18, 2019Standard5 findings
  • Mar 5, 2019Complaint1 finding
  • Mar 9, 2018Standard4 findings
  • Oct 24, 2017Complaint2 findings
  • Oct 2, 2017Complaint4 findings · 3 harm
  • Mar 15, 2017Complaint2 findings · 1 harm
  • Jan 30, 2017Standard11 findings
  • Oct 14, 2016Complaint2 findings · 2 harm
  • Aug 5, 2016Complaint4 findings
  • Jul 7, 2016Complaint3 findings · 1 harm
  • May 24, 2016Complaint1 finding
  • May 4, 2016Complaint1 finding
  • Dec 3, 2015Standard and complaint26 findings · 4 harm
  • Aug 27, 2015Complaint1 finding
  • May 20, 2015Complaint1 finding

Surveys that found no deficiencies are not in CMS’s files and do not appear here.

Comparable facilities

The nearest facilities to this one in the same peer group, by weighted findings.

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